NPI | 1790311314 |
---|---|
Former Name | ANGELA MICHAELA HOLYFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 122455) |
Enumeration Date | 2020-03-15 |
Last Update Date | 2025-09-05 |